01Responsibilities
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Supervise a team of healthcare claims examiners and may carry an individual case load based on business needs.
Actively manage work allocation, , query resolution and delivery of key SLAs
Report key claims handling metrics using dashboards & scorecard to evaluate performance and trends and drive process improvements
Review work of others via file reviews; identify coaching opportunities and act on needed coaching opportunities
Identify performance and behavioral issues and work with staff and management to address and correct them
Communicate with stakeholders in a professional, positive and proactive manner. Work collaboratively with all external and internal departments
Assist with any new transitions, able to map workflows and create Standard Operating Procedures. Ensure compliance to all process essential documents. .